Provider Demographics
NPI:1609194794
Name:FLORES, DANIEL (TEM)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:TEM
Other - Prefix:MR
Other - First Name:DANIEL
Other - Middle Name:
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TEM
Mailing Address - Street 1:BO CARRERO ROAD 109 KM 4.8
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610
Mailing Address - Country:US
Mailing Address - Phone:787-603-6890
Mailing Address - Fax:
Practice Address - Street 1:2328 AVE ALBIZU CAMPOS
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:PR
Practice Address - Zip Code:00677-2435
Practice Address - Country:US
Practice Address - Phone:787-603-6890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2003-3602146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic